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HomeMy WebLinkAbout04-1105 -- Estate of' ~;/ j'f flf. also known as PETITION FOR PROBATE and GRANT OF LETTERS C C vrrct Y\ No. ~ \- Ol\ - \ \ (Jt) To': Register of WjlJs for\!.he I I , Deceased. County of l:v "",,-o~r~t\g in the Social Security No. c?< 10 .- 0 c; - 7 7 f/J(I, Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut in the last will of the above decedent, dated ',) U V1~ i 7,1 I q Bf3J and codicil(s) dated named , 19_ (state relevant circumstances, e.g. renunciation, death of execUtor, etc.) Decendent was domiciled at death in C v..... € (" Lv, Pennsylvania, with his last family or principal r~idence at 3 3 0 '" r (2 c::- r , Me i ~ 1!1 V\ I . 5 I(",,} r-J I ~ A 17 usa S,lvl'f <; G:J r'[ v\s T'^" (1 (list street, number and muncipality) Decenqi1n,t, tlwn gq Oc--fDbe V' "3 ~ u 0 '-/ , 19 at +{' (;,^~ or I Except as follows, ecedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvani~ situated as follows: l' i S I () 0 () (00 00 0 , $ $ $ $. .. ,._~.", WHEREFORE, petitioner(s) respectfully request(s) the probate of the last wilL and codicil(s) presented herewith and the grant of letters t~ s +~....e...i"rr ;~ .. . (testamentary; administration c.t.a.; administr~tion d.b.n.c.t.a.) theron. 1......0 ~ '" ~ " u c: " ~--;; "'~ " ... ~" c: -00 c';:: ('j"'::: 3~ " '- 50 C;; c: OJ) i:ii ~~~~~~~t. , t7D~ ~~dt^,- t. (A)g~~/ OATH OF" PERSONAL REPRESENTATIVE COMMONWEALTH ~ENNl:LVANIA I ss COUNTY OF C\.) \<11\ . J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true alld correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- t~tive(s) of the above decedent petitioner(s) will well and truly administer the estate according to iaw. 40 ()AJJ O~r-f A ) ~ I I.. ~ ciQ' ::I l:l i:: ~ ~ No. Estate rif FlI~eYJe C. r ufrltf') , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW "\'h,s 3 re1 "U.-X oWlI'rI\\m\- w-~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before iTI.e, IT IS DECREED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of , and Letters are hereby granted to !1Ll L . Register of Wills r-- L (v---- FEES ATTORNEY (Sup. CL 1.0. 7?,e-r Probate, Letters, Etc. .....,... $ Short Certificates( ).......... $ Renunciation ................ $ $ ADDRESS TOTAL _ $ Filed ................................... PHONE ,- .-- ... ,- II : (I~ I{!\ '1/\/, Thi" i" 10 certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanen~ filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fcc for this certificate, $2.00 t~ j(~/L71 Local Registrar . ..-- -- ,-~ P 10667522 (J eiiJt.~: j--: h 0 f -...... , No. ~te I '...........! ., 11IO~ 14J Hev. 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS J ir-b~HINr CERTIFICATE OF DEATH STATE FILE NUMBER IN SEX SOCIAl SECURITY NUMBER DATE OF DEATH (Monlh, Day. Year) .'l:.RMANENT BLACK INK 3. 210 - 09 - 3 2 BIRTHPLACE (City and T State or Foreign Country) . 7. Johnstown PA Re,Id.rn;eD ~~::fy) 0 RACE. American Indian, Black, While. . . (Specify) 8b. Dau hin ... '0. White DECEDENT'S USUAl OCCUPATION MARITAL STATUS -Married, SURVIVING SPOUSE l~\/~oflil~ct;::u:.~ Never Married, Wktowed. (It wit.. 'iI,.... maid.n name) DiVOlced (Specify) . ..Never Married I. . Did Silver Spring Iwp _nl Cumberland Ivein. l1d. 0 ~:=~I~ of County IlJWJlship? aly/boro MOTHER'S NAME (First. Middle, Makten Sumame) 18. Alice Galla her INFORMANT'S MAILING ADDRESS (StraeI. CityfT own, State, ZIp Coda) 20a 20b.33 Bourbon Red Drive Mechanicsbur . PLACE OF DISPOSITION- Name of Cemetery. Cremalexy or Other Place 0 LICENSE NUMBER 22b. FD 014889 To the best ot my knowledge. death occurred at the lime, date and place staled. (Signalure and TiUe) 23.. 23b. 23c. lIems 24-26 musl be completed by TIME OF DEATH WAS CASE REFERRED TO A MEDICAL EXAMINER ,CORONER-' person who pronounces death. Ve.D N;'~ ... 2.. 27. PART I: En....... dl....... InJu,," or compUc.t60n. which c.u.eeI 1M : Approximate PART II: Other significiIom conditions conlributmg to dealh, bul lI.t onlll' 0'" u.. on MCh II".. I Interval batwee nol resutling in the underlying cause given in PART I. : onset and death .. Sequentially list condi~ r if any, leading to immediale DUE TO (OR AS A CONSEQUENCE on cau~e. Enler UNOERL YINO c. CAUSE (Dlsoase Of Injury 111.11 illiudled eYent. DUE TO ORASA NSEOUfiNCE OF) ll,ll.ulting on dealh ) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED PERFORMED? AVAILABLE PRIOR TO !2( (Monlh,O.y. v...) COMPLETION OF CAUSE Natural Homickle 0 OF DEATH? D D ve.D NoD Accident Pending Investigation Yes 0 No ~ D 30a. 30b. M. 301;. Ve.D NoD Suicide Could not be determined o PLACE OF INJURY. At home. farm. stceot, factory, office OUlldifllil. etc (SpttClfy) 28. 28b. 28. 30.. CERTIFIER (Check only one) .~~~J~F:~~tGof!:.~~~~~JFu'ls~:rhc~~i~~~: t':! ~:~h.~:(:r~3~~X~~~. h:t~r.~~~~~~~.~ .~~~~~l. ~I.l~ .~~~~~~~.~. i.t~.~ .~~l.... ............. .PRONOUNCING AND CERTIFYING PHYSICIAN (Physician ooth Pfooouncmg death and certifying 10 causa of dtlathJ To the beat of my knowledge. death OCCUlTed at the time, data, and pl.~. and due 10 the Ulu...(a) and manner.. ataled.._ ~ . '::';);:::::;~;";:.":".~.~.'.:.C.~.'~.:":"~.~.C.':'".~..:"":~.:".~.~~.":"..~~'.:" 0 )Ia - REGIST'f'~9IGNATURE AND NUMBER I. '1 3- ~ 0-0 y lJ_~-7'\. , JI/I~II W 3-4. RENUNCIATION In Re Estate of t: c.) j-e 111 e. Charl-es C v....f'a.V'\ deceased. To the Register of Wills of C U Ih\ bel' L:lli\ j County, Pennsylvania. The undersigned (Sc~ be lo<.v\ of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters be issued to /It/yl, C. Wea..v~ r WITNESS hand this day of ,20_. ~ %JM1~ Q , (~('~~ (Y') (Signature) I l12q~~({;e,,~~- - (Add s) J ( J '--~ ( ~(!. tt/~~ 0_) _,~~'Lt/~~ ~---; iLh-v ~ ~.4l~/ ( ::s 'jnq,-+IJre..) (Signature) '3 S B~c.u..hD'" K~d 0 ~I v'< 3~ i1ovrhovt f<ec/ br. _df-ectUll1lcsbvrj, f-?,4 /"70 S'"'t? M-e.C.ht:lVllC.d'''''''1 p~ I '?os-o ( I'I-,j J rt' S. s) . (Address) -~~ (! <<!e.,_eV/lJ Q;tAtU{~~~ s "J ,., ~ -tvr-e.. ') 5'~ ~ov,..bo",., ~-ed b~. ~VL - JIVl ~ ch aM (( S b u J .' f /f I"?CJ~-u 30 KDsevnorvl ( fl.dJr~ r; S ') JP;ffshu1rlV'Tit rS~a% I I . . . \ - 11Ia5t lIill aub illt5tamtut OF EUGENE C. CURRAN I, EUGENE C. CURRAN, of the City of Johnstown, County of Cambria and I i State of Pennsylvania, do hereby make, publish and declare the folIo\\" ing to be rry Last Will and TestamEnt, hereby revoking and rr.c.king void any and all Wills or Codicils by mE' at any timEi heretofore rr.ade. FIRST: I direct the paymEnt of my funeral expenses and rr.y debts which my estate is legally obligated to pay. All inheritance or estate taxes, State or Federal, whether imposed upon property passing under or outside the term~, of my Will, shall be paid by my Executrix from the corpus of my estate. SECOND: I give, devise and bequeath the sum of One Thousand ($1,000.00) Dollars to be used for masses for the repose of my soul. THIRD: Or. May 9, 1988, I WaS ordered to leave our residence by my wife. Since we both wished to part amicably, I gave rr:y wife, STELLA CURRAN, one-half of my assets at that time, the sum of Thirty-three Thousand ($33,00g~00) Dollars. '~..~-' Consequently, I give, devise and bequeath nothing to IT.y wife, STEt.LA CURRA.N, from ""hom I am ~,eparated, in the event of my death. I \..jJ FOURTH: I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed of whatsoever nature and \\"heresoev~ situate to my sisters, ROSE ALICE CC&RAN, SAR.A C. CL'RRPN and ELLEN CL'RRPN W EA YER, and IT.y brother, JOHI\ J. CURRAN, share and share alike, provided they survive rr:e and the share of anyone who may have predeceased me shall be divided equally between the surviving relatives so designated. FIFTH: If all of my sisters and brother predecease rr:Ei I give, devise and bequeath all the rest, residue and rerr.ainder of my estate, real, personal and mixed, of whatsoever nature and \\ heresoever situate to my nephe\\, HUGH CURRAN WEA YER, ~e~~J Euge C. Curran I I I I I , I I any my niece, PHILENE WEAVER REVITSKY, share and share alike, provided both I survive me, and the share of either one who may have predeceased me shall be I I distributed to the survivor of these two designated relatives. I SIXTH: I nominate, constitute and appoint, GLORIA A. HIRSCHBERGER, to be the Executrix of this my Last Will and Testament and I direct that my Executrix shall not be required to file bond for the faithful performance of her duties hereunder. IN WITNESS WHEREOF, I, EUGENE C. CURRAN, the Testator above named, have he,eunto subscribed my name and affixed my seal, this ~day of ~ , in the year of our Lord one thousand nine hundred eighty-eIght (1988). This Last Will and Testament which consists of two (2) pages, to each of which I have affixed my signature. i ~e(}:--~--/ i Euge . C. Curran I I I i ! SIGNED, sealed, published and declared by the above named EUGENE C. , I I 1 ! CURRAN, the above named Testator, as and for his Last Will and Testament, in the I presence of us, who have hereunto subscribed our names at his request as witnesses I thereto in the presence of the said Testator and of each other. I I ! i i I I I I i I I I I I . AFFIDAVIT COMMONWEAL TH OF PENNSYLVANIA ) ) ss: ! i COUNTY OF CAMBRIA ) ! \ i ! , ~ i ~ i WE, EUGENE C. CURRAN, and I -rt . ~ s: ~ ,the e,tator and witnesses respectively whose names I I are signed to the attached foregoing instrument, being first duly sworn, do hereby I declare to the undersigned authority that the Testator signed and executed the I \ I instrument as his Last Will and Testament and that he had signed willingly and that I he executed it as his free and voluntary act for the purposes therein expressed, and i i that each of the witnesses, in the presence and hearing of the Testator, signed the i I ! i Will as witnesses and that to the best of his or her knowledge, the Testator was at ! I ! that time eighteen (18) years of age or older, of sound mind and under no constraint i I , or undue influence. i I c~i i I 1 I , I SUBSCRIBED, sworn to and acknowledged before me, a notary public, by F' CURRAN~ Testator, and su ~ ~and , 1988. WITNESSES, THIS {~ da of I C. ~~~ ()<Jotary Public ! E. JANE HIRSCHBERGER, No~"ry P\JlJIiQ Johnstown. Cambria County, f'3. My Commission Expires Novemller 9, 199~ I I COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11,96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRIS8URG, PA 17128,0601 PENNSYL VANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 004780 WEA VER HUGH C 33 BOURBON RED DRIVE MECHANICSBURG, PA 17050 ACN ASSESSM ENT AMOUNT CONTROL NUMBER -------- fold ---------- -------- 101 I $8,801.48 ESTATE INFORMATION: SSN: 210-09-7766 I FILE NUMBER: 2104-1105 I DECEDENT NAME: CURRAN EUGENE C I DATE OF PAYMENT: 12/30/2004 I POSTMARK DATE: 1 2/30/2004 I COUNTY: CUMBERLAND I DATE OF DEATH: 10/03/2004 I I TOTAL AMOUNT PAID: $8,801.48 REMARKS: CHECK# 1020 INITIALS: CCP SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 02/28/2005 WEAVER HUGH C 33 BOURBON RED DRIVE MECHANICSBURG, PA 17050 RE: Estate of CURRAN EUGENE C File Number: 2004-01105 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.6 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing is due by: 03/13/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ Clerk of the Orphans' Court cc: File Counsel Judge JRD/June 30, 1992/17858 / RECEIVED APR 1 9 2~ In Re: Estate of EUGENE C. CURRAN ORPHANS' COURT DIVISION Late of SILVER SPRING TOWNSHIP COURT OF COMMON PLEAS OF CUMBERLAND COUNTY Estate No.: 21-04-1105 PENNSYL VANIA NO. 21-2004-1105 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: HUGH C. WEAVER Counsel for Personal Representative: Date of Grant of Original Letters: 12-03-2004 Date of Delinquency Notice: 03-13-2005 The undersigned, Glenda Farner-Strasbaugh, Clerk of the Orphans' Court, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk ofthe Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on MARCH 13, 2005, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 04-18-2005 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File ~' ~ 3;( S" A hearing is scheduled for /uJf k~ ) ()O ati/:30IJJt/l Courtroom No.3. Ifth Certification of Notice . hearing will automatically be cancelled. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: 1:. U J ~-<!/ C- C d rre:l/rt- Date of Death: 10 /3 /0</ , I dv/~C>Y~ ---- ;21 -o?-oD 'f - /1 OJ~ Will No. 1/ c,:>d Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on /0 ) 7/':> Y : , , Name Address rO<;e fJ- / I ~~ ~j 0,.. f?t. VI '3 ~ fSo ~".'" ~Q ~. f't 176S() ((I e-YI C' (,J ~v~ ?~ BclJrhu-r- ~ brr;~ 'y~ (;0 .,.::T1 -L~"'1 \~:l~p .2;;'.:ij W ;/;7.>::: ,;3~~;1 -0 - j ::'cj r>? ,:)---1 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except ;;~ - r!"'l Date: ~~ II .)..a 0 S-- ;4 b /L ~~~~ , Signature Name f/.; 0' H C, WC~ Address 33 doo,/:......... fZ&0r. PIe c1 ~ ;4- (../uSC; Telephone nc)) ..M.I - ?& ?S Capacity: _ Personal Representative _Counsel for personal representative if COMMONWEALTH OF PENNSYLVANIA REV,l162 EXll1,961 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CO 005694 WEAVER HUGH C 33 BOURBON RED DRIVE MECHANICSBURG, PA 17050 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold --..------ -------- 101 I $1,200,00 ESTATE INFORMATION: SSN: 210,09-7766 I FILE NUMBER: 2104-1105 I DECEDENT NAME: CURRAN EUGENE C I DA TE OF PAYMENT: 08/16/2005 I POSTMARK DATE: 08/1 6/2005 I COUNTY: CUMBERLAND I DATE OF DEATH: 10/03/2004 I I TOTAL AMOUNT PAID: $1,200,00 REMARKS: CHECK# 1039 INITIALS: CCP SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WillS REGISTER OF WILLS I I COMMONWEALTH OF PENNSYLV ANI A REV-1162 EX(ll 961 DEPARTMENT OF REVENUE AUR[AU OF INDIVIDUAL TAXES Ocpr 280601 HARRISBURG, PA 17128-0601 PENNSYL VANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005693 WEA VER HUGH C 33 BOURBON RED DRIVE MECHANICSBURG, PA 17050 ACN ASSESSMENT AMOUNT CONTROL NUMBER ----~- fold ----~--_.~ -------. 101 I $1,200.00 ESTATE INFORMATION: SSN: 210-09-7766 I FILE NUMBER: 2104-1105 I DECEDENT NAME: CURRAN EUGENE C I DATE OF PAYMENT: 08/16/2005 I POSTMARK DATE: 08/16/2005 I COUNTY: CUMBERLAND I DATE OF DEATH: 10/03/2004 I I TOTAL AMOUNT PAID: $1,200,00 REMARKS: CHECK# 1040 INITIALS: CCP SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ----- U.S. Postal SerMiceTM <0 ERT I I:) JLTM RECEIPT ..J] <0 ~ ome$t~ , On.(f; o Insurance Coverage Provided} ITl LEB'~itmmm: . ITl .iF.: . ' ~ -';"~-L"--T-- llN:\c'JO $ :T --.-- D Certifi,'!d F JEl : Cl E Postmark Cl netum Aedept F ,e Here (Endorsement Requ off~) Cl Restrlcted OellvElry F. '8 -- .-'l (Endorsement Require i) .-'l ITl Total Postage & FeE s $ ITl Cl Cl l'- Certified Mail Provides: (as;8119C/) ZOQZ eunr 'coaE WJO.:( Sd . A mailing receipt . A unique identifier for your mailpiece . A record of delivery kept by the Postal Service for two years Important Reminders: . Certified Mail may ONLY be combined with First-Class Mail", or Priority Mail",. . Certified Mail is not available for any class of international mail. . NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. . For an additional fee, a Return Receipt mare be requested to crrOVide proof of delivery. To obtain Return Receipt service, p ease complete an attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Retum Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPs.. postmark on your Certified Mail receipt is reqUIred. . For an additional fee, delivery may be restricted to the addressee or addressee's authorized 898n1. Advise the clerk or mark the mailpiece with the endorsement "Restricted efiveryN. . If a postmark on the Certified Mail receipt is desired, elease present the arti- cle at the post office for postmarking. If a postmar on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access 10 delivery information is nol available on mail addressed to APOs and FPOs. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG, PA 17128-0601 Telephone September 14, 2005 717 -783-6893 Hugh C. Weaver 33 Bourbon Red Dr, Mechanicsburg, Pa. 17050 Re: Estate of Eugene C, Curran File Number 2104-1105 Dear Mr. Weaver: This is in response to your letter of September 12,2005, concerning the Inheritance Tax return due in regards to the above referenced estate. Since it is apparent that you will be unable to file a tax return in the near future, the estate record will be placed in an informal hold status for an additional period of six (6) months so that the Depal'tment will initiate no enforcement activity. At the end of that period we would ask that you contact us to provide an updated status for our file. Thank you for your cooperation and if I may be of any further assistance, please feel free to contact this office. !-"- ~_.,' .. _m urel Fulmer ! - Inheritance Tax Division Bureau of Individual Taxes E-Maillfulmer@state.pa,us '- ~;-'- pt. REV- 1500 EX. (5-08) W" COMMONWEALTH OF " ~ A) PENNSYlVANIA . . . . .,~. . . . DEPARTMENT OF REVENUE . DEPT. 280601 ~:' . HARRISBURG, PA 17128-0601 , -' t- Z W C w U W C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Curran, Eugene, C. DATE OF DEATH (MM-DD-YEAR) 10/03/04 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 1 __ A-L -.O~~l-.L~~- ati:TY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 210-09-7766 DATE OF BIRTH (MM-DD-YEAR) 06/18/15 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) o 2. Supplemental Retum o 4a. Future Interest Compromise (date Of dffith after 12-'2-82) o 7. Decedent Maintained a Living Trust (Attach cqly of Trust) o 10. Spousal Poverty Credrt (date Of death between 12-3'-91 ar<l1-1-95) o 3. Remainder Return (date of death pnnr In '2.13-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach 8ch 0) W I- lll::~(/) UD:lll:: wl1.U :r:OO uD:..J 11.1:0 11. .s: ~ 1. Original Return o 4. Limrted Estate o 6. Decedent Died Testate (Attach Cqly of 1MII) o 9. Litigation Proceeds Received I- Z W C Z o 11. (/) W D: D: o U THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Hugh C. Weaver 33 Bourbon Red Drive FIRM NAME (lfApjiicable) Mechanicsburg, PA 17050 TELEPHONE NUMBER (717) 691-1678 (1) (2) (3) (4) (5) 4. Mortgages & Notes Receivable (Schedule D) 3. Closely Held Corporation, Partnership or Sole-Proprietorship -:--, 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) z o < ..J ::2 !::: 0.. <( U w c::: 89,842.10 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (6) 20,000.00 (7) 0.00 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilrties, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (9) (10) (8) 16,454.84 4,697.12 (11) (12) (13) 109,842.10 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an eleetion to tax has not been made (Sched ule J) 21,151.96 88,690.14 1,150.00 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 87,540.14 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES x .0 (15) x.O _~ (16) z o ~ .- ::2 0.. ::i o u ~ 15. Amoum of Line 14 taxable at the spousal lax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate __~~_______~7,549.:.14_ x .12 10,504.82 (17) (18) (19) 10.504.82 x .15 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < v- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG, PA 17128-0601 Telephone September 14, 2005 717-783-6893 Hugh C. Weaver 33 Bourbon Red Dr. Mechanicsburg, Pa. 17050 Re: Estate of Eugene C. Curran File Number 2104-1105 Dear Mr. Weaver: This is in response to your letter of September 12,2005, concerning the Inheritance Tax return due in regards to the above referenced estate. Since it is apparent that you will be unable to file a tax return in the near future, the estate record will be placed in an informal hold status for an additional period of six (6) months so that the Department will initiate no enforcement activity. At the end of that period we would ask that you contact us to provide an updated status for our file. Thank you for your cooperation and if I may be of any further assistance, please feel free to contact this office. rei Fulmer Inheritance Tax Division Bureau of Individual Taxes E-Maillfulmer@state.pa.us Commerce .Bank Commerce Bank/Harrisburg N.A 100 Senate Avenue Camp Hill Pa 17011 888-937 -0004 Page 1 of 2 STATEMENT DATE EUGENE C CURRAN C/O HUGH C WEAVER 33 BOURBON RED DRIVE MECHANICSBURG PA 17050 o ACCOUNT NO. 3 *** CHECKING *** 50 PLUS CLUB ACCOUNT NUMBER 0513183806 PREVIOUS STATEMENT BALANCE AS OF 09/17/04 ......... ....... ........ PLUS 2 DEPOSITS AND OTHER CREDITS .............. ..... LESS 3 CHECKS AND OTHER DEBITS ............... ....... CURRENT STATEMENT BALANCE AS OF 10/18/04 ......... ................ NUMBER OF DAYS IN THIS STATEMENT PERIOD 31 CYCLE-005 5,818.56 141.71 2,057.69 3,902.58 ----------------------------------------------------------------------------------- *** CHECK TRANSACTIONS *** SERIAL DATE 166 10/07 167 10/06 AMOUNT 50.00 7.69 SERIAL 168 DATE 09/30 AMOUNT 2,000.00 ----------------------------------------------------------------------------------- *** CHECKING ACCOUNT TRANSACTIONS *** DATE DESCRIPTION 10/01 DEPOSIT 10/18 INTEREST PAYMENT DEBITS CREDITS 141.12 .59 ----------------------------------------------------------------------------------- *** BALANCE BY DATE *** 09/17 5,818.56 09/30 10/07 3,901.99 10/18 3,818.56 10/01 3,902.58 3,959.68 10/06 3,951.99 PAYER FEDERAL ID NUMBER INTEREST PAID YEAR TO DATE 23-2324730 5.85 ---------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD DAYS IN PERIOD............ ............. INTEREST EARNED,....... ................ ANNUAL PERCENTAGE YIELD EARNED (APY).... *** 31 .59 0.15% ---------------------------------------------------- ~lnTII:'. rar-r- nr-",r-_^_ 1"'1__ ...,,_ ...____. ...... ...._~_... _I_a. "'-**1< *" II. - 9: unlOD . Jf. . .~**"Federal Bank .11 ~ bMrk Mould be" www.ufbbankingcenter.com FDIC Insured P.O. BOX 1245 INDIANAPOLIS, INDIANA 46206-1245 @ ACCOUNT STATEMENT III.III~ 111111111111.111'1111111.1'111.11111.1111111111.11.111 208 699 EUGENE C CURRAN HUGH C WEAVER 33 BOURBON RED DR MECHANICSBURG PA 17050-7952 Page 1 Statement Open Date 07/07/04 Statement Close Date 10/06/04 Primary Account 21-017756-1 THE CHECK CLEARING FOR THE 21ST CENTURY ACT WAS SIGNED INTO LAW EFFECTIVE OCT. 28,2004. WATCH FOR A SPECIAL INSERT IN YOUR OCTOBER STATEMENT FOR DETAILED INFORMATION. HIGH YIELD MONEY MARKET SAVINGS Account #021-017756-1 Beginning Balance on July 7,2004 Deposits and Other Credits (2) Other Debits (1) $ + 55,397.93 193.66 5,000.00 32,677.84 Ending Balance on October 6, 2004 $ Deposits and Other Credits Date 07/29 08/30 Description INTEREST DEPOSIT INTEREST DEPOSIT Amount 94.45 99.21 Other Debits Date 08/25 Description MISCELLANEOUS DEBIT FUNDS TRFR Amount 5,000.00 Customer Balance Summary Date 07/29 Balance 55,492.38 Date 08/25 Balance 50,492.38 Date 08/30 Balance 50, 591. 59 Periodic Account Summary Interest Rate YTD Interest Paid Fees Paid This Period Interest Earned This Period Annual Percentage Yield Earned Days in Period 2.08% 677 . 84 0.00 270.87 2.09% 92 ) All FDIC Insured Products Provided By Union Federal Bank .:~_-~;.--~- ."::.'<--1{ . . ~..UI1L.Dn Y., '" *'7ed'-.. al Bank III'l!!!!' Nn. ""'u/d"'''' www.ufbbankingcenter.com FDIC Insured P.O. BOX 1245 INDIANAPOLIS, INDIANA 46206-1245 @ ACCOUNT STATEMENT 111.111...111"111.1.11 ...1," 11.1'111.11111.111 II... II .1..1.1 208 847 EUGENE C CURRAN 33 BOURBON RED DR MECHANICSBURG PA 17050-7952 Page 1 Statement Open Date 10/07/04 Statement Close Date 11/07/04 Primary Account 20-020008-9 ** ALL DEPOSIT PRODUCTS PROVIDED BY UNION FEDERAL BANK. ** INTEREST CHECKING Account #20-020008-9 Beginning Balance on October 7, 2004 Deposits and Other Credits (2) + Other Debits (0) Checks (2) 1,511.88 10,003.84 0.00 875.43 Average Balance Avg Collected Balance YTD Interest Paid 3,428.52 3,428.52 8.45 } Ending Balance on November 7, 2004 Interest Earned This Period Annual Percentage Yield Earned Days in Period 10,640.29 3.84 1. 28% 32 Deposits and Other Credits Date 11/01 Description TRANSFER DEPOSIT TRF ACCT SV 210177561 INTEREST DEPOSIT EFF DATE 11-07-04 Amount 10,000.00 11/06 3.84 Checks (* indicates a missing check number.) Check# 1005 Date 10/29 Amount 853.43 Check# 1006 Date 11/02 Amount 22.00 Check# Date Amount Customer Balance Summary Date 10/29 11/01 Balance 658.45 10,658.45 Date 11/02 11/06 Balance 10,636.45 10,640.29 Date Balance ) All FDIC Insured Products Provided By Union Federal Bank EIGHTH WARD OFFICE 1059.FRANKr.IN STREET JOHNST8WN PA' 15905-4303 TELEPHONE 814-533-5300 **.=AMERISERV FIN A N C I A l- Page: 1 of 2 PO Box 520 . Johnstown, PA 15907 EUGENE C CURRAN 33 BOURBON RED DR MECHANICSBURG PA 17050-7952 10/16/2004 6560139238 111111111111111111.111111111111111...1.1111111..1111.1111111.1 CYCLE-020 *** CHECKIN~ *** PREFERRED MM ACCOUNT Account Number 6560139238 Enclosures 1 Beginning Rate 1.00000 Previous statement balance on September 17,2004 Total Deposits and Credits: 1 Total Checks and Debits: 1 Cycle Service Charge Ending balance on October 16, 2004 Number of days in this statement period: 30 $ + $ 5,829.49 1,762.80 3,000.00 o 4,592.29 . Checkina Account Transactions Date Description 09/30 AC-PA TREASURY DEPT-ANNUITANT . Check Transactions Serial Date 152 10/01 DEBITS CREDITS 1. 762.80 Amount 3.000.00 Serial Date Amount . Balance Bv Date Date Balance Date 09/16 5.829.49 09/30 Balance Date 7.592.29 10/01 Balance Date 4.592.29 25-0851535 21. 31 Balance PAYER FEDERAL ID NUMBER INTEREST PAID YEAR TO DATE ) SEE REVERSE SIDE FOR IMPORTANT INFORMATION .. JOHNSTOWN SCHOOL EMPLOYEES FEDERAL CREDIT UNION 738 Viewmont Avenue Johnstown, PA 15905 814 - 255 - 6642 Eugene C Curran 33 Bourbon Red Drive Mechanicsburg PA 17050-7952 Account Number 653 Share File Date 09-30-2004 Transaction div Amount 115.66 Balance 17194.78 M&I Bank ,. CDfTime Deposit Withdrawal Form LAS VEGAS M&I BANK FSB DATE: 02/17/2005 TYPE OF REQUEST: [X] Phone [ ] In Person ] Mail ACCOUNT #: 78002-58251 DEPOSIT #: 1 CUSTOMER NAME AND ADDRESS: DISTRIBUTION METHOD: EUGENE CURRAN 33 BOURBON RED DR MECHANICSBURG PA 17050-7952 CASHIERS CHECK 700246279 PARTIAL WITHDRAWAL: (Penalty on Amount Paid to Customer) COMPLETE WITHDRAWAL: (Information from 244 Screen) Paid to Customer $ N/A Current Balance $ Penalty + $ N/A Credit Accrued Interest + $ Total Withdrawal $ N/A Penalty $ Withholding $ Paid to Customer $ 13,025.50 25.53 0.00 13,051.03 SIGNATURE ON FILE Customer Signature SAND I JOHN Processed by 141~101 PA (11/02) Routing: Deposit Support Services Center / Customer CDTIME.DOC M&I Bank to CD/Time Deposit Withdrawal Form M&I BANK FSB LAS VEGAS DATE: 02/17/2005 TYPE OF REQUEST: [Xl Phone [ 1 In Person [ 1 Mail ACCOUNT #: 78002-58243 DEPOSIT #: 1 CUSTOMER NAME AND ADDRESS: DISTRIBUTION METHOD: EUGENE CURRAN 33 BOURBON RED DR MECHANICSBURG PA 17050-7952 CASHIERS CHECK 700246280 PARTIAL WITHDRAWAL: (Penalty on Amount Paid to Customer) COMPLETE WITHDRAWAL: (Information from 244 Screen) Paid to Customer $ N/A Current Balance $ Penalty + $ N/_A Credit Accrued Interest + $ Total Withdrawal $ N/A Penalty $ Withholding $ Paid to Customer $ 13,025.50 25.53 0.00 13,051. 03 SIGNATURE ON FILE Customer Signature SAND I JOHN Processed by 141-101 PA(11/02) Routing: Deposit Support Services Center / Customer CDTIME.DOC ..~ ...., iiiiii I\)~ ~ o iiii o~ o iiii 0- ~ o~ o iiiii w- iIIiSiiiiIiliai o iiiiii ,fl.~ o iiiiiiiii o~ ..~ . Commonwealth of Pennsylvania Remittance Advice Acct. Purchase Order Invoice Invoice 'Control Number Number Date Number WE ARE PRESENTING THIS CHECK FOR YOUR UNCLAIMED PROPERTY, CLAIM #99484986 o 0 11/21/2005 99484986 000273 38 0021450C t) Payment Amount $304.0 Total Payment Amount - $3Oi iF YOU HAVE ANY aUESTIONS-CONCERNING THIS-PAYMENTCAlL. 'F800'222.204tJ DETACH-CHECK AT PERFORATION-~ -- RE(V-1509 EX+ (6-98) " . '. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A, Rose Alice Curran 33 Bourbon Red Drive Mechanicsburg, PA 17050 Sister B. c. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY 'Io0F DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER, ATTACH DEED FOR JOINTLY-HELD REAL ESTATE VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. 01/01/93 Property at 1105 Confer Ave., Johnstown PA 15905 40,000,00 50 20,000.00 TOTAL (Also enter on line 6, Recapitulation) $ 20,00000 (If more space is needed, insert additional sheets of the same size) II . MOnarch Rea1ty & Appraisa1s 204 College Park Plaza JOhnstown, PA 15904 814-269-4580 Maya, 2003 Hugh Weaver Property - 1105 Confer Avenue Johnstown, PA 15902 Rose Alice & Sara Curran 203543 203543 Borrower - File No. - Case No. - Dear In accordance with your request, I have personally inspected, made a Limdted Appraisal Analysis, and prepared a Summary Appraisal Report of the real property located at 1105 Confer Avenue, Johnstown, PA. The purpose of the Summary Appraisal Report is to estimate the market value of the property described in the body of this report. Enclosed, please find the Summary Appraisal Report which describes certain data gathered during our investigation of the property. The methods of approach and reasoning in the valuation of the various physical and economic factors of the Subject property are contained in this report. An inspection of the property and a study of pertinent factors, including valuation trends and an analysis of neighborhood data, led the appraiser to the conclusion that the market value, as of 05-06-2003 is : $40,000 The op1n1on of value expressed in this report is contingent upon the Limdting Conditions attached to this report. It has been a pleasure to assist you. If I may be of further service to you in the future, please let me know. Respectfully submitted, Monarch Realty & Appraisals ~~ Todd Wyant - PA Certification #Assistant to the certified Real Estate Appriaser dlJJ ~ uJ Frederick o. Wyant PA Certification #RL-000327-L REV-1510 EX+ (6-98) IC' A . ".~.' ~.. H . "Jb' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETUR~j RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Eugene C. Curran This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-15l)o COVER SHEET is yes. FILE NUMBER DESCRIPTION OF PROPERTY ITEM INCLlDE ~ NAME OF ~ TRANSFEREE, ~IR RB.ATlONSHIP TO DECEDENT ANlJ DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER ~ DATE OF TRANSFER ATl1\C/i A copy OF ~ OEED FOR REAl. ESTATE VALUE OF ASSET INTEREST (IF APPlICAl3l.E) VALUE 1. Hugh C. Weaver, nephew, 9130104 3,000.00 0 3,000.00 0.00 2. JoAnne Weaver, niece, 9130104 3,000.00 0 3,000.00 0.00 3. Philene W. Revitsky, niece, 9/30104 3,000.00 0 3,000.00 0.00 4. Joseph H. Weaver, grand-nephew, 9130104 3,000.00 0 3,000.00 000 5. Brendan M. Weaver, grand-nephew, 9130104 3,000.00 0 3,000.00 0.00 6. Kelly M. Weaver, grand-niece, 9130104 3,000.00 0 3,000.00 0.00 7. Steven G. Revitsky, grand-nephew, 9130104 3,000.00 0 3,000.00 0.00 8. Alicia R. Revitsky, grand-niece, 91301U4 3,000.00 0 3,000.00 0.00 9. Katherine E. Revitsky, grand-niece, 9130/04 3,000.00 0 3,000.00 0.00 TOTAL (Also enter on line 7 Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99>W ~ III 4' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRAl1VE COSTS ESTATE OF ALE NUMBER Debts of decedent must be reported on Schedule L ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Funeral Home Expenses After funeral and burial meals and guest expenses Travel expenses to and from funeral and burial 10,894.03 375.00 260.63 2. 3. B. ADMINISTRATIVE COSTS: 1. Personal Represen12tive's Commissions Name of Personal Represen12tive(s) Social Security Number(s)/EIN Number of Personal Represen12live(s) Street Address City . State Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedenrs address is not the same as claimant's, attach explanation) Claimant Street Address City State . Zip Relationship of Claimant to Decedent 4. Probate Fees 167.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 8. Safe Deposit Box Opening - 1st Commonwealth Bank Johnstown PA House and Property Clean Up -1105 Confer Ave. Johnstown, PA Household Bills Net Property Taxes 167.50 2,541.61 1,327.58 720.99 7. 9. 10. TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 16,454.84 RE.V-1512 EX+ ~2-o3) .~ .. ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Middletown Home 953.84 2. Continuing Care RX 950.55 3. Cumberland Crossing 719.20 4. Philhaven Beth Clinic 55.89 5. Cambria County Register of Wills - Agent (John Curran supplemental inheritance tax rtn 1105 property) 1,133.77 883.87 6. Allegheny County Register of Wills - Agent (Sara C. Curran supplemental inher tax rtn for 1105 property) TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 4,697.12 R~V-1513. EX+ ;;-00) ~..~. · ; ''fdIIl1 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Seraphic Mass Association 1,050.00 2. 7th Armored Division Association 100.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 1,150.00 (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX 04-03-2006 CURRAN 10-03-2004 21 04-1105 CUMBERLAND 101 APPEAL DATE: 06-02-2006 (See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 9~!_~~9~~_!~!~_~!~~______~___!~!~!~_~~~~~_~9!!!~~_~~!-Y9~~_~~99~~~__~____________________ REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX EUGENE C FILE NO. 21 04-1105 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN HUGH C WEAVER 33 BOURBON RED DR MECHANICSBURG PA 17050 ESTATE OF CURRAN REV-1547 EX AFP (06-05) EUGENE C TAX RETURN WAS: (X) ACCEPTED AS FILED DATE 04-03-2006 ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. JointlY Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (.5) (6) (7) .00 .00 .00 .00 89,842.10 20,000.00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 16,454.84 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 109,842.10 21.151 96 88,690.14 1,150.00 87,540.14 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 1.5. Amount of Line 14 at Spousal rate (IS) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 .00 X 045 = .00 87,540.14 X 12 = 10,504.82 .00 X 15 = .00 (19)= 10,504.82 4.697.12 (11) (12) (13) (14) ., ...... ,..-.... . (+J AMOUNT PAID DATE / NUMBER INTEREST/PEN PAID (-) 12-30-2004 7CD004780 463.24 8,801.48 08-16-2005 AD005693 .00 1,200.00 08-16-2005 CD005694 7.48- 1,200.00 TOTAL TAX CREDIT 11,657.24 BALANCE OF TAX DUE 1,152.42CR INTEREST AND PEN. .00 TOTAL DUE 1,152.42CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) HUGH C WEAVER 33 BOURBON RED DR MECHANICSBURG PA 17050 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-24-2006 CURRAN 10-03-2004 21 04-1105 CUMBERLAND 101 EUGENE C Allount Rellitted l MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF CURRAN EUGENE C FILE NO. 21 04-1105 ACN 101 DATE 04-24-2006 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-27-2006 PRINCIPAL TAX DUE: 10,504.82 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-30-2004 CD004780 463.24 8,801.48 08-16-2005 CD005693 .00 1,200.00 08-16-2005 CD005694 7.48- 1,200.00 04-05-2006 REFUND .00 1,152.42- ; / "I - TOTAL TAX CREDIT 10,504.82 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IE IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. ," 'f IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) Cumberland County - ~egister Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/14/2006 WEAVER HUGH C 33 BOURBON RED DRIVE MECHANICSBURG, PA 17050 RE: Estate of CURRAN EUGENE C File Number: 2004-01105 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 10/03/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasba~n Clerk of the Orphans' Court cc: File Counsel cJ . . . LJ... (~) C.r,\ '(5;;;. u::. -,' L.L- \ I,. OC') OCr..::, LLJ i.."" C") \~: d:.: s.,~ ~ C) ( ,} W2 CL Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: C Uj.f! VI e ~ C V r- rCJ.. Y\ Date of Death: /0 I ~ J 0 '/ . , , Estate No.: - ;'O()<.{ - 0 llOS ' Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: C> ("oJ (0 ~ 0- N N 0- W (/) ~ c::::> c::::> c-I 1. State ~her administration of the estate is complete: Yes ~ No 0 2. Ifthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a; Did ~rsonal representative file a final account with the Court? Yes tJ No 0 . b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the person~resentative state an account informally to the parties in interest? Yes t:J No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: <.C O. 1-- .~ Ll- C:-;. (:) C':) l: ~(I') cc '::j :t~ C)ct L;. 0::-;:. 0-- ~ o Capacity: . Ijj /Li JC<<)Mil--1. .d Si~';;I'- " l-iJa/-f C- l~eo I).e~ v Name "\) _ (\ 3~ e:> a -J ~ p~ 1--€(\/ \fJ\-ec~ X;y- I) os;<:> . Address C 7 (,) Co q (-/67;;Y Telephone No. er;ersonal Representative o Counsel for personal representative ~